Department of General Surgery, Goztepe Training and Research Hospital, Istanbul, Turkey.
World J Gastroenterol. 2009 Dec 7;15(45):5751-3. doi: 10.3748/wjg.15.5751.
Intragastric balloon therapy, as a part of a multidisciplinary weight management program, is an effective short-term intervention for weight loss. Although the insertion procedure is easy and generally well tolerated by patients, a few complications can occur. We report here a heavy smoker with intragastric balloon insertion complicated by colonization with opportunistic organisms. The 27-year-old female, body mass index 35.5 kg/m(2), had a BioEnterics Intragastric Balloon inserted under conscious sedation without any perioperative complications. Six months later, when the standard removal time arrived, the balloon was seen to be covered with a necrotic white-gray material. Microbiological examination revealed Enterobacter cloacae and Candida species yeast colonies. We recommend that asymptomatic fungal and/or bacterial colonization should be considered among the complications of the intragastric balloon procedure, despite its rarity.
胃内球囊治疗作为多学科体重管理计划的一部分，是一种有效的短期减肥干预措施。尽管插入过程很简单，并且患者通常能够很好地耐受，但也可能会出现一些并发症。我们在此报告一例胃内球囊插入后发生机会性生物体定植的重度吸烟者。这名 27 岁的女性，体重指数为 35.5kg/m²，在清醒镇静下插入了 BioEnterics 胃内球囊，没有出现任何围手术期并发症。6 个月后，到达标准取出时间时，发现球囊覆盖着坏死的灰白色物质。微生物检查显示阴沟肠杆菌和念珠菌属酵母菌落。我们建议，尽管这种情况很少见，但应将无症状的真菌和/或细菌定植视为胃内球囊治疗的并发症之一。
